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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197800835
Report Date: 03/04/2024
Date Signed: 03/04/2024 04:05:07 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/27/2024 and conducted by Evaluator Alberto Lopez
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20240227120011
FACILITY NAME:HEGLIS CARE HOMEFACILITY NUMBER:
197800835
ADMINISTRATOR:JANE ANNE CUAFACILITY TYPE:
735
ADDRESS:3218 HEGLIS AVE.TELEPHONE:
(626) 280-0061
CITY:ROSEMEADSTATE: CAZIP CODE:
91770
CAPACITY:4CENSUS: 4DATE:
03/04/2024
UNANNOUNCEDTIME BEGAN:
09:48 AM
MET WITH:Ruga, Melissa, House ManagerTIME COMPLETED:
04:16 PM
ALLEGATION(S):
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Staff due not ensure adequate care and supervision is provided to client in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Alberto Lopez conducted an unannounced visit at the facility for the purpose of investigating the above allegation. LPA utilized the Compliance and Regulatory Enforcement (CARE) Tool to evaluate the facility. LPA Lopez met with House Manager Maria Ruga and designated temporary Administrator Gil Calingasan was contacted via phone LPA explained the purpose for the visit.

The investigation consisted of reviewed and obtaining client and staff roster. Reviewed and obtaining and C1 IPP and physiological progress report for C1. LPA interviewed 5 staff (S#1-S#5) and 2 clients (C#2-C#3) Client #1 and Client #4 were not able to answer questions. LPA also interviewed two witnesses (W#1-W#2)

The investigation revealed the following:
Allegation: Staff due not ensure adequate care and supervision is provided to client in care. It is alleged that facility staff is not providing adequate supervision to clients resulting in one client running around the facility naked and another client taking photos of client. (Continued on 809D)
Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Alberto Lopez
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 28-AS-20240227120011
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: HEGLIS CARE HOME
FACILITY NUMBER: 197800835
VISIT DATE: 03/04/2024
NARRATIVE
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LPA interviewed six (6) staff S#1-S#6 and 6 of 6 staff denied that C1 walks around naked in the home. 6 of 6 staff also denied that another client took a picture of C1 naked. 6 of 6 staff stated they provide adequate supervision. W1 stated W1 did not see photo of C1 or see C1 naked around the house. W2 which is family member stated that W2 has no photo of C1 naked and understands home can be challenging to staff but believes staff is doing a good job. LPA was unable to interview C1 and C4. 1 of 2 clients could not collaborate the allegation and C2 stated C2 did not have a picture of C1 were C1 is naked. C2 stated C2 observed C1 naked the last time about 3 weeks ago but could not recall date. There was no collaborating evidence of this. LPA reviewed Eisner Psychological Associates report dated 01/24/2024 and it states that C1 has history of disrobing which the report defines as C1 taking off all clothes and run around naked. Intervention plan includes documenting when C1 gets disrobed. C1 goal is to reduce episodes of disrobing from 7x per month to 3x per month by 03/31/2024. Last time C1 disrobed according to records kept by the facility was on February 29, 2024, 1x in the am, 2x in the am on February 28 and 1x in the am on January 11, 2024. C3 who is in the room adjacent to C1 stated C3 has never seen C1 around the house without clothes and has not seen anyone take pictures of other clients. S1 stated that disrobing incidents documented are when C1 was in C1 room alone and partially disrobes, maybe pull underwear halfway or top over shoulder in C1 room, but never fully disrobed and running around the house naked and that it was a misunderstanding on S1 part and that is why S1 documented the disrobing behaviors listed above. According to S1, C1 has never disrobed according to the definition in the Eisner Psychological Associates report dated 01/24/2024 which defines disrobing as taking off clothes and run around the house naked. Temple City Police made visit and made no arrest and told Administrator they would refer to a specialist. APS made visit to home to and left without investigating. LPA has been to home twice this year and has not observed C1 disrobed during the visits. LPA has observed staff being attentive to clients needs on both occasions. There is not enough evidence to substantiate the allegation.

Based on record review and interviews conducted the findings indicate, although the allegation(s) may have happened or are valid, there are not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation(s) are UNSUBSTANTIATED.



An exit interview was conducted with House manager Melissa Ruga. A copy of the report was issued.
NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Alberto Lopez
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2